How to treat puffy eyelids 6 month after blepharoplasty?

How to treat puffy eyelids 6 month after blepharoplasty?

Nick  |  visitor  |  Abu Dhabi
  • 1 answers
I had a upper and lower eyelid surgery 6 month ago and my lower eyelid appears puffy no matter what I do. After the surgery I had the usual cooling packs and upright position in bed to enhance the healing. After three weeks the surgeon advised, as the puffiness didn't subside satisfactory, to have LPG treatment to stimulate the lymph flow. In total I had 20 LPG treatments. Today 6 month after the surgery my lower eyelids look worse than before. KIndly advise what I should do.
Dr Jacques Buis  |  Premium member  |  Plastic surgery  |  Paris
  • 1243 answers
Two questions ?
First did you loose any weight between the two pictures ?
Second, is it better in a down liying position with head little bit down that feet?
Nick  |  visitor  |  Abu Dhabi
  • 1 answers
Dear Dr. Buis,
many thanks for your response.
In regards to your first question, I didn't loos any weight before and after the surgery.
Second, I didn't try this position with head lower than feet.
Many thanks & Regards,

Reply to Nick

Dr Jacques Buis  |  Premium member  |  Plastic surgery  |  Paris
  • 1243 answers
Try do do this position with pictures and let me know what you observe ?
Dr. surendra chawla  |  Basic member  |  New Delhi
  • 98 answers
Thanks for your query regarding puffy eyelid. You need to be evaluated again whether it is edema or orbital fat. If it is fat then revision surgery will be required along with fat grafting.
South Delhi Cosmetic Clinic
Delhi , India
Dr. med. Paul J. Edelmann  |  Premium member  |  Plastic surgery  |  Frankfurt am Main
  • 7066 answers
I do perform eye lid surgery since 1985.

I think during the surgery of the lower eye lids the orbital septum was opened (inorder to remove fatty tissue) and not closed there after. Due to this more retro occula fatty tissue moved forward and now you have fatty eye lid backs. This can be corrected any time e.g. by means of pushing the fatty tissue back again, behind the eye ball and repairing the orbital septum.

Best regards from Frankfurt,

Dr. med. Paul J. Edelmann.
CSSC International +  |  Basic member  |  Lahore
  • 863 answers
Dear Nick, you need to be evaluated, whether it is edema, fat bags, which were not removed during the procedure, peri-ocular fat protruding forwards, or a hypertrophied orbicularis oculi muscle, which was not resected properly at the time of surgery. In any case, your problem is completely correctable. You need a touch up blepharoplasty of the lower lids, most probably if it is fat or muscle. However, if it is only loose skin as a result of your loosing weight, few chemical peel sessions would be helpful.
Dr Ahmad Aziz  |  Basic member  |  Ophthalmology  |  London
  • 8 answers
There are a number of causes for puffy eyelids after surgery and it is important for you to see your doctor to see if it is due to lymph flow, recurrence of fat protruding or something else. If it is lymph then this can last for a year or so before it settles although this isn't common.

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